| NPI | 1700504867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA SMITH Medical Billing Operations Manager 434-422-2061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2022-08-16 |
| Last Update Date | 2022-08-16 |